Urban health extension service utilization and associated factors in the community of Gullele sub-city administration, Addis Ababa, Ethiopia

Girmay, Aderajew Mekonnen; Evans, Martin R.; Gari, Sirak Robele; Gebremariam, Azage Gebreyohannes; Reta, Mulumebet Tadesse

doi:10.18203/2394-6040.ijcmph20190580

Cited by 19 publications

(15 citation statements)

References 18 publications

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“…22 But this finding is much lower than those of studies in Gullele sub-city administration, Addis Ababa, Ethiopia (86%), and Bishoftu town, Oromia regional state, central Ethiopia (72.8%). 1,5 The possible justification might be due to the difference in uptake of the urban health service extension program which implies that the community still focus on curative healthcare services in the study area. The other possible reason could be the difference in the extent of supportive supervision and on-job training which was supported by systematic review in Ethiopia, where limited supportive supervision was one of the challenges to implement the health service extension program.…”

Section: Discussionmentioning

confidence: 99%

“…Participants who scored greater than or equal to 75% of the given questions were considered as having satisfactory knowledge and otherwise having unsatisfactory knowledge. 5 The Cronbach alpha value for the seven items of the questions was 0.942.…”

Section: Variables and Measurementsmentioning

confidence: 96%

“…1 Accordingly, women who have gotten services more than or equal to 75% of the packages were considered as "utilized"; otherwise as "not utilized". 5 Knowledge was measured using seven items of the urban health extension program-related questions. Participants who scored greater than or equal to 75% of the given questions were considered as having satisfactory knowledge and otherwise having unsatisfactory knowledge.…”

Section: Variables and Measurementsmentioning

confidence: 99%

“…1 The approach is based on the assumption that access and quality of primary healthcare (PHC) in urban communities through the transfer of knowledge and skills to households. 5,6 The main objectives of HEP are to improve equity and access to essential health interventions. Initiating community-based health insurance is supposed to be one of the priority strategies to address both equity and access related gaps by mobilizing, encouraging community participation, increasing health awareness, and skills within the community, improving utilization of PHC services, and promoting healthy lifestyles.…”

Section: Introductionmentioning

confidence: 99%

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<p>Urban Health Extension Program and Health Services Utilization in Northwest Ethiopia: A Community-Based Study</p>

Molla

Tsehay

Gebremedhin

2020

RMHP

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Purpose: Ethiopia is one of the developing countries striving to achieve universal health coverage using the health extension program (HEP). However, there is limited evidence on the utilization of the urban health extension program (UHEP), particularly in the northwest part of the country. Therefore, this study aimed to assess the level of urban health extension program utilization and its associated factors in Gondar administrative city, northwest Ethiopia. Patients and Methods: A community-based cross-sectional study was employed from March 15 to May 30, 2019. A total of 626 systematically selected mothers were interviewed using an interviewer-administered structured questionnaire. Binary logistic regression analysis was computed. In the final multivariable logistic regression analysis, a P-value of less than 0.05 and adjusted odds ratio (AOR) with 95% confidence interval (CI) were used to declare the factors associated with the utilization of urban health extension services. Results: The utilization level of urban health extension services was found to be 59.5% (95% Cl=55.8-63.6). The result indicated that two-fifths of the participants were not utilizing the services. Private employees (AOR=0.37, 95% Cl=0.21-0.63), housewives (AOR=0.36, 95% Cl=0.20-0.64), merchants (AOR=0.08, 95% Cl=0.03-0.17), satisfactory knowledge (AOR=4.37, 95% Cl=2.73-6.96), perceived accessibility of services (AOR=1.68, 95% CI=1.02-2.74), and perceived competence of HEWs (AOR=1.97, 95% Cl=1.22-3.18) were factors significantly associated with the utilization of urban health extension services. Conclusion: The overall utilization of the urban health extension program was low compared to the national recommendation. Occupation, knowledge of participants towards UHEP, accessibility of health extension services, and participants' perception about the competency of HEWs were factors associated with utilization of UHEP. Therefore, awareness creation, in-service training, improving the accessibility of services and frequency of contact with mothers at the household level will increase the services utilization.

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Section: Discussionmentioning

confidence: 99%

Section: Variables and Measurementsmentioning

confidence: 96%

Section: Variables and Measurementsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

<p>Urban Health Extension Program and Health Services Utilization in Northwest Ethiopia: A Community-Based Study</p>

Molla

Tsehay

Gebremedhin

2020

RMHP

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“…Previous studies mainly focused on assessing utilization of the urban health extension program rather than maternal health care from UHE-ps throughout the pregnancy up to postnatal period [14][15][16]. Further, understanding in detail factors affecting maternal health care and its utilization from UHE-ps is crucial.…”

Section: Introductionmentioning

confidence: 99%

Maternal health service utilization from urban health extension professionals and associated factors among women who gave birth in the last one year in Ambo town, Oromia regional state, Ethiopia, 2018

et al. 2020

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Background: Despite the existence of urban and rural health extension workers maternal mortality and morbidity remain, as a public health problem in Ethiopia. The utilization of maternal health services from UHE-ps is key activities, which contribute to the reduction of maternal morbidity and mortality. This study aimed to assess maternal health service utilization from urban health extension professionals and associated factors among women who gave birth in the last one year in Ambo town. Methods: Community-based cross-sectional study conducted from February to March 2018 among women who gave birth in the last year before the study period, in Ambo town, Oromia, Ethiopia. The Data collections were through face-to-face interview, the Focus discussion group was done using a semi-structured questionnaire. Descriptive, bivariate and multiple logistic regressions computed by SPSS version 20. Statistical significance was considered at p < 0.05 and the strength of statistical association was assessed by odds ratio with 95% confidence intervals. Result: From the total respondents, only 57(14.2%) women utilized maternal health services from urban health extension professionals during their recent birth. Regarding maternal health services utilization from urban health extension professional's ANC, Delivery and PNC were 159 (39.7%), 115 (28.7%) and 76 (19%) respectively. The variables, such as graduated as model family (AOR: 2.4; 95% C I: 1.20, 4.78), home visit during pregnancy within month (AOR: 11.6; 95% CI: 3.60, 37.17), awareness on pregnancy danger sign (AOR: 3.8; 95% CI: 1.62, 8.92) and parity (AOR: 2.8; 95% CI: 1.06, 7.61) were factors affecting maternal health services utilization from urban health extension professionals.

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Community‐based health insurance service utilization and associated factors in Addis Ababa, Ethiopia

Girmay

Reta

2022

Public Health Challenges

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Introduction Community‐based health insurance (CBHI) scheme is a powerful tool to achieve universal health service coverage by providing financial protection against healthcare costs. Ethiopia introduced CBHI, although its utilization is suspected to be poor. Consequently, this study aimed to assess CBHI service usage and related factors. Methods Six hundred fifty‐two participants were enrolled in this study. Data was collected through a face‐to‐face interview. Results This study indicated that 60% of respondents utilized the CBHI service. In this study, male participants were 44% less likely to use the CBHI service (AOR = 0.44 with 95%CI: 0.28–0.70) than female participants. Besides, participants from small households were 54% less likely to utilize the CBHI service (AOR = 0.54 with 95%CI: 0.36–0. 82) than those from large families. However, using the CBHI service was 4.97 times higher among illiterate participants (AOR = 4.97 with 95%CI: 1.46–16.91) than those with literacy skills. Moreover, participants with low income were 5.14 times more likely to use the CBHI service (AOR = 5.14 with 95%CI: 2.27–11.64) than those with high monthly income. Additionally, participants who had not a private home were 6.31 times higher to use the CBHI service (AOR = 6.31 with a 95%CI: 2.76–14.46) than those who had. Furthermore, participants having adequate information on the CBHI were 8.99 times more likely to use the CBHI service (AOR = 8.99 with 95%CI: 5.66–14.27) than those who had not. Conclusion The study provides essential information regarding CBHI service utilization and associated factors. Although the majority of the participants used the CBHI service, still a large number of users did not receive the services properly. Availability of laboratory services and delivery of essential drugs were low. Therefore, government and other relevant agencies should develop effective regulatory systems to promote the CBHI service and improve public health facilities' capacity to provide CHHI services properly.

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Urban health extension service utilization and associated factors in the community of Gullele sub-city administration, Addis Ababa, Ethiopia

Cited by 19 publications

References 18 publications

<p>Urban Health Extension Program and Health Services Utilization in Northwest Ethiopia: A Community-Based Study</p>

<p>Urban Health Extension Program and Health Services Utilization in Northwest Ethiopia: A Community-Based Study</p>

Maternal health service utilization from urban health extension professionals and associated factors among women who gave birth in the last one year in Ambo town, Oromia regional state, Ethiopia, 2018

Community‐based health insurance service utilization and associated factors in Addis Ababa, Ethiopia

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